Rama Boppana

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

12393R Issued in LA

Practice address

242 West Shamrock Street
Pineville, LA 71360

Phone

(318) 484-6814

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central la State Hospital

  • Psychiatric Hospital
  • Pineville, LA
  • NPI 1215033535
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750467718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 TENNYSON OAKS LN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012758",
            "telephone_number": "318-484-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WEST SHAMROCK STREET",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-484-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPPANA",
        "first_name": "RAMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "LA",
            "license": "12393R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541371",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Blose, PSYD
• Greg H Bolton, PA-C
• Deborah L Bond, LCSW
• Chelcie Lemaire Bonin
• Janet Blank Bonnette, LCSW
• Vijaya L. Boppana, M.D.
• Benjamin Paul Bordelon
• Danna Dyess Bordelon, M.S.W., L.C.S.W.
• Jessica Bordelon, PHARMD.
• Sabrina Jewel Bordelon, LCSW

• Forensic Psychiatry Physician in Pineville, LA
• Providers in Pineville, LA by specialty
• Forensic Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.